RFA Combined With Chemotherapy for Unresectable Cholangiocarcinoma
NCT05028439 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 70
Last updated 2023-02-21
Summary
Extrahepatic cholangiocarcinoma is a malignant tumor that is highly malignant and difficult to diagnose and treat early. Endobiliary radiofrequency ablation (RFA) has been reported to be a beneficial treatment option for palliation of malignant biliary strictures. Within the bile duct, RFA appears to be safe and may result in decreased tumor ingrowth. To date, little is known about the role of the addition of systemic chemotherapy to RFA for cholangiocarcinoma. The aim of this study is to compare the efficacy and safety of RAF combined with Gemcitabine and S-1 in patients with unresectable cholangiocarcinoma.
Conditions
Interventions
- DEVICE
-
radiofrequency ablation
All patients underwent biliary sphincterotomy. Cholangiogram was performed to confirm stricture location, length and diameter. The Habib Endo HPB (Hepatobiliary) probe (EMcision, HitchinHerts, UK) was then advanced over a wire at the level of the biliary stricture and ablation using ERBE generator set at 7-10 watts for a time period of 90-120 s was conducted. A 1- to 2-min resting period after energy delivery was allowed before moving the catheter along the length of the stricture to ablate the rest of the stricture. Plastic stent(s) were placed after RFA depending on the location of the malignant obstruction
- DRUG
-
Chemotherapy drug
Gemcitabine 1 000 mg/m2 intravenously on day 1,8; S-1 80 mg/m2 was taken orally twice for two weeks. The curative effect was evaluated comprehensively for each 2 cycles of chemotherapy
Sponsors & Collaborators
-
Hangzhou Cancer Hospital
collaborator OTHER -
Changhai Hospital
collaborator OTHER -
Eastern Hepatobiliary Surgery Hospital
collaborator OTHER -
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
collaborator OTHER -
Xijing Hospital
collaborator OTHER -
First People's Hospital of Hangzhou
lead OTHER
Principal Investigators
-
Xiaofeng Zhang, M.S · First People's Hospital of Hangzhou
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-01-01
- Primary Completion
- 2022-12-01
- Completion
- 2022-12-30
Countries
- China
Study Locations
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